HippyDippy...The day before I first felt my hip pain (left); I felt a pain in my left ab while running/golf. Almost like a cramp. Since than it hasn't gone away; but seemed to calm down when the left hip is doing better. Hoping it's related to the tear.

Sorry I haven't posted in a while but I too was on vacation. I was able to walk a lot, hike, and wasn't even sore!! I'm pretty much back to my normal life until the next one in 6 weeks. But considering how fast I was 90% recovered (3 months), I'm not too worry to get the other side done. I updated the blog with a short post and hope everyone else is doing well!

Hi, new to this forum, and looking for some guidance from so many well informed posters. Here is background : 43y/o male, right hip cam removal (small debridement) no arthritis, operation 25 Aug 2012. Now 9.5 weeks post op. last few weeks seem to have shown a decline, was going ok and walking unaided after 3 weeks, with some mild pain, but seemed to be improving until week5, since then, sharp pin in the groin crease walking up stairs, similar pain increasing with duration when walking, starts after about 1minute. Twinging/pulling on the inner thigh wall near groin, and hip flexor discomfort. Limited ROM both internal(worse) and external rotation. Spoke to surgeon who asked me to return to rehab week one for 2 weeks, anti inflams and crutches, no weight, Am I just stiff ? Started hydro therapy 5 days ago, 2nd session yesterday and I would feel the intensity and pain in groin during the session, somewhat sore today, in all pof the above areas, have applied a groin brace and that relieves it a little. Sorry about the dump, just trying to make sense of it all, any info gratefully received.

[QUOTE]Originally posted by the heat:Hi, new to this forum, and looking for some guidance from so many well informed posters. Here is background : 43y/o male, right hip cam removal (small debridement

Hi, hang in there. I think all of us have had ups and downs. As soon as we feel good we all do too much!

I wonder if your psoas is playing up? Mine got really tight and I got bad pain exactly where you said, plus some hip flexor inflammation for good measure. Maybe try icing and speak to your PT about stretches.

I am sure Mrs LAF, EllaW and others will have some words of wisdom based on their experience.

Try not to worry too much, healing does take a while especially, it seems, if you are over 30 (being over 40 as well I can say that!!)KXCKXC

the Heat: welcome to the forum!first off, you are probably sick of hearing it, but 9.5 wks is still early in orthopaedic terms, so try not to panic just yet!sometimes we can do the initially healing relatively quickly but then level off.that said, it does sound very similar to the ongoing problem i have with Psoas.it is possible that during the surgery, your tendon was irriated which is causing you the pain-but it could also be tendinitis.I had a THR in July but still have chronic psoas tendinitis which causes great pain.did your surgeon inspect both compartments during the operation? (if not then he/she might have missed the tendinitis.)my surgeon is Mr Villar, and when he did my 2nd scope, he had a good look round the whole hip and found loads wrong.

the best advice i can give is to get yourself a wheat pillow and heat it up in the microwave. it is by far the best way to aleviate the pulling in the groin and if you use heat before settling for the night, i find that it tends to calm things down a bit before disrupting sleep!

also-if you are able, try stretching the groin slowly by kneeling on the affected side with the other leg bent with the foot flat on the floor. lean into the good leg, and it should stretch the capsule and the psoas.

i hope this has helped some,and please let us know how you are doing.Laura

KXC: wow heals??i am too scared to even try heals!lolwhich is a shame as i have the most amazing collection of pretty shoes!but since the injury happened, i have felt so un-feminine and instead of wanting to dress up and look good, i opt for being warm, comfortable and where possible pain free. (with the result that most of the time i look like the michelin man!)

i'm almost 4months out from my THR now, and mostly things are awesome! my mobility is like 1 million times better than pre op. The only thing bugging me is psoas (and the worsening of the 'good' hip )maybe i will be bionic before i am 30!

[QUOTE]Originally posted by MrsLAF:KXC: wow heals??i am too scared to even try heals!lolwhich is a shame as i have the most amazing collection of pretty shoes!

Well by heals I mean about 5cm!! Not exacty sky scrapers, but at 5ft 2 every cm helps! I don't do very high...

I know what you mean about being warm and comfy. I spent all last winter in Uggs (+ orthotics before anyone shouts about lack of support for your feet) and fleecey trousers! There are some advantages about surgery in autumn, no summer dresses and crutches (sorry Snowpants, I think that was you)!

For my naughty psoas I found lying on my back on a table, good leg into chest and then drop you bad leg off the end of the table really helped. Hold for about 30sec twice a day (not too much or you make the tendinitis worse). When I started this my leg hardly moved down, now it will go to the hoizontal and I can bring my foot back towards my bum.

Santinello - I've never had anything like that burning you describe. The other hip problem sounds just as you guessed, like the first hip is now overcompensating for the second hip.

MrsLAF - I love reading your posts but I wish your hips would just get better. You are so young to be going through all of this.

Cris - 3 miles, amazing.

Megan - wow, fantastic progress. So happy for you!

Heat - I had my hip done 2 weeks before yours. Having very similar problems, incredible roller coaster. I rarely see my surgeon; my PTs handle the interim problems. They tell me the roller coaster is normal for most people and to be patient. I started out with a lot of damage, so I started at a real disadvantage.

That pulling on the inner thigh might be the adductors, which is a recurring problem for me. I get weekly deep tissue massage as well as PT to help with it. I also back off on PT when everything flares up. You may not be able to tolerate the half-kneel on the op leg (I cannot, on my worst days). I also have a lot of trouble with the Thomas stretch that kxc mentioned - it is very uncomfortable.

Goodness, I wish I had gotten this surgery done earlier, when the hip was not so destroyed...but I was trying to avoid surgery! My recovery feels painfully slow.

Originally posted by the heat:Hi, new to this forum, and looking for some guidance from so many well informed posters. Here is background : 43y/o male, right hip cam removal (small debridement) no arthritis, operation 25 Aug 2012. Now 9.5 weeks post op. last few weeks seem to have shown a decline, was going ok and walking unaided after 3 weeks, with some mild pain, but seemed to be improving until week5, since then, sharp pin in the groin crease walking up stairs, similar pain increasing with duration when walking, starts after about 1minute. Twinging/pulling on the inner thigh wall near groin, and hip flexor discomfort. Limited ROM both internal(worse) and external rotation. Spoke to surgeon who asked me to return to rehab week one for 2 weeks, anti inflams and crutches, no weight, Am I just stiff ? Started hydro therapy 5 days ago, 2nd session yesterday and I would feel the intensity and pain in groin during the session, somewhat sore today, in all pof the above areas, have applied a groin brace and that relieves it a little. Sorry about the dump, just trying to make sense of it all, any info gratefully received.

I had exactly the same thing at the 5 week mark, which both my physio and surgeon had warned would be the case. Basically your body goes into a degree of shock post-operation, which then subsides a few weeks later...at which your body wakes up to the fact it's undergone major surgery, and goes back into defensive mode, ie, tightening up and sending pain signals.

I'm the same age as you, and am now 10 months post-op. I'm pretty much doing most of what I could before, but easing off on the high impact stuff like sprinting. Every now and then I get twinges and aches and pains, but that's about it.

Thanks to everyone for the info much appreciated, I have tried the Thomas stretch and it seemed to work, almost immediately alleviating a chunk of the discomfort and allowing me a bit more hip movement, I then tried to walk up stairs unaided and got the groin pain straight away.

One step at a time me thinks (no pun intended). I think the pain is definitely related to that group of muscles. I just need to find the key to unlocking them properly.

I was getting deep massage from physio, and that felt good immediately afterwards, with much improved ROM, only to later return to being inflexible. Perhaps the Psoas stretches and deep massage combined will be the solution.

Hi all! Writing from my trusty hospital bed. Had a total hip replacement Monday, going home today. My OS used the SuperPATH method. My incision site hurts & it's bruised, but my right foot now points forward not to the side, and my 3" leg difference is gone! So the THR isn't that horrible, will keep posting as I gain strength. My OS says I will run again, & I will jump my horse too. We'll see!Oh Angela-don't forget the Game Ready ice machine, 'twas my best friend through all my knee & hip surgeries.

Originally posted by mpkbhicks:Hi all! Writing from my trusty hospital bed. Had a total hip replacement Monday, going home today. My OS used the SuperPATH method. My incision site hurts & it's bruised, but my right foot now points forward not to the side, and my 3" leg difference is gone! So the THR isn't that horrible, will keep posting as I gain strength. My OS says I will run again, & I will jump my horse too. We'll see!Oh Angela-don't forget the Game Ready ice machine, 'twas my best friend through all my knee & hip surgeries.

yay!welcome to the THR crowd!im so happy that your leg length difference has gone, and hope you recover as well as I did.sorry to hear your incision site hurts-mine did for a few weeks after, and once the numbing had gone, it is hurting a lot more now because it is cold.

Well, the cold weather will soon be here, if you don't have it already.... Time to wrap up, put the fire on and disapear under the blankets with - pick as approrpriate - book, wine, chocolate,cat, nice cup of tea.....

Snowpants, sorry to hear about your ongoing issues, I am slowly improving, thanks to the folks on this board and some hydrotherapy, if you haven't done that as part of your Post Op rehab then try and get on it, my OS put me on it (albeit some time after my initial rehab wasnt going so well) and I can really feel the benefit, I am getting this in Glasgow, so if it has reached here then it must be where you are The stretches are borderline painful and I am sore for a couple of days after, but it does seem to be working. Good luck with your choice of cold weather comfort from kxc320

I am getting this in Glasgow, so if it has reached here then it must be where you are The stretches are borderline painful and I am sore for a couple of days after, but it does seem to be working. Good luck with your choice of cold weather comfort from kxc320

Glasgow - brrrrrr! Buckinghamshire is cold enough!!! Enjoy the snow. At least the pool will be warm.

Hi MrsLAFI am 1 year and 1 day out from surgery and am finally not thinking about my hip every day. I am still aware of it and need to be kind it to, but mostly I can do what I want (no running though).

I managed to wear heels (about 5cm) for a blacktie party and thankfully my hip did not complain.

My good hip has started to give me reminders that it is there - pain on the front of my hip just below my hip bone - what's that all about?? Hopefully that will go away!

How is Scotland - have you got snow? We had a sprinkling on the roof last weekend- very unusual for Buckinghamshire.

Wow this morning I was laying on my side (the operated hip was under me) and when I moved my other leg that yes has problems too, it was popping and catching like crazy. ugghhh so frustrating to have hip dysplasia and know I am going to need two THR's in my life.

Glad to hear you are doing well Laura! When is your check up again or have I missed it?

I know I have mentioned I am doing a medical research survey on my operated hip for Mayo but the odd thing is I got another survey from them and this time it was from my first doc the one that did the arthroscopic failed surgery. Well I didn't fill it out because it really doesn't pertain to me any more because I had to have corrective surgery because of it so I tossed it with a few drunken sailor words to go with it. lol

Hi everyone! I am doing fine. I re-started personal training last Friday and that was hard on my weakened muscles, despite it being a watered down version... I think I just need a couple of days of rest to recover from the added stress.

Hoping that I can keep doing personal training once a week, I am down to once a week for physical therapy.

Originally posted by the heat:EllaW, you should have completed it, I recon we need more info on who are the good and bad OSs. Sorry to hear about the popping, sure its the hip and not the tendons, they can make the same noise ?

MrsLAF, woop woop to you, there must be something in the water up here that degenerates the hip joint

kxc, no snow in the West, plenty of rain that you can take away if you wish Got brother in Thurleigh, Beds, quite close to Bucks.

Hope everyone progressing well, any updates ?

The survey was as if I hadn't had the open hip surgery though so I am just guessing it was a mistake on their part to send it to me. Nope the popping and catching are the same things I had on the operated hip and I knew from the MRI's and Xrays that both hips are going to need work done.

We are getting tons of dreary, wet days here too, can't wait for a sunny day!

Hello all! One week post-op from SuperPATH Total Hip Replacement. Had surgery afternoon of 10/29, was home morning of 10/31! Used a walker till Saturday, now on crutches, no issues getting in or out of cars, no limp, no pain meds except over the counter Tylenol. I had a 3" leg length difference, my OS said if I had waited another month or so the femur would have shattered or the pelvis crumbled and we would've had a whole new set of problems!

So, be aware that if you are dragging the whole injured side of your body (even if it doesn't hurt) see your OS at least once a month for rapid degradation!

I have an extensive history, you can click on my name and read all my older posts. Just wanted folks to know you can find a solution to your pain and inability to be mobile! I'll keep posting updates as they come.

Originally posted by kxc320:Hi MrsLAFI am 1 year and 1 day out from surgery and am finally not thinking about my hip every day. I am still aware of it and need to be kind it to, but mostly I can do what I want (no running though).

I managed to wear heels (about 5cm) for a blacktie party and thankfully my hip did not complain.

My good hip has started to give me reminders that it is there - pain on the front of my hip just below my hip bone - what's that all about?? Hopefully that will go away!

How is Scotland - have you got snow? We had a sprinkling on the roof last weekend- very unusual for Buckinghamshire.

How is you hip doing? Is "work" playing ball with you?

KXC

thats awesome that you managed to wear nice shoes without your hip complaining!i am still too scared to try high heeled shoes we havent had any snow in Edinburgh yet, but my brother only just got back from holiday as Aberdeen airport was closed for a while due to snow.I also have front of hip pain on on my other side and although it isn't there all the time, it can get really intense. boooo.

I'm doing ok. only need to keep seeing my rehab instructor for another 4wks as they dont think i'll gain anything as have recovered from my THR so quickly.i still jhave chronic tendinitis but that is something that will hopefully settle by itself, although i have been waiting for it to do so for years!lol.x

EllaW: im sorry about the catching honey-was it really painful too?I would have used the first surgeon's survey to tell him exactly what i thought of his attempt at surgery-i agree that more people should know that he didn't help you, and if anything made you worse.i really hope you get an easier time soon.my next follow up is on 21st November, and my mum is going to come with me and do some christmas shopping in Cambridge!I really want to get started on the diagnostics for the other hip as its getting worse every week.i was on the rower machine in the gym, and whilst my THR was completely fine, i got a really intense burning deep down in the groin on my other side. i had to stop rowing and go back on the bike

The heat: lol!i got injured during service in the Army. I'm still in, but being medically discharged in april. matter of interest-which surgeon do you use up here?

Well I had my surgery on 10/25, it went very smooth and I stayed overnight in the hospital which was great. Postoperative Diagnosis: Cam lesion anterolateral femoral head and neck with intact acetabular and femoral head cartilage and intact acetabular labrum.Procedure: Left hip arthroplasty, synovectomy and femoral head and neck osteoplasty.My stitches were removed on Monday 11/5 and I start physical therapy on 11/12. My question is should I still have the same "feels like I have a pulled groin muscle" and clicking noise with certain movements or is this normal and I am just rushing things? I do have crutches that I use but am ok if I dont use them for short distances or a limited amount of time. At night I am more achey and usually fall asleep with ice. My goal is to be in better shape than presurgery but how am I to do that with the same pain?

Hi Angela, that was what I felt like when I came out and the clicking noise can go hand in hand with the groin pain, once you start PT you should be advised to get stretching and increasing Range of movement, you will start to notice a big difference when you start doing that. I certainly did, especially when told to do the PASOA stretch by MrsLAF and KXC on this board.

Mrs LAF, I started off seeing a guy caled Colin Walker, but he said his speciality was knees and told me to go to Sanjeev Patil, I got my procedure done by him, I should have perhaps shopped around a little more on reflection, however, post op he put me in the hands of my own PT on dry land, but hes now taken charge of my PT since things werent progressing great in the first 8 weeks (I'm now in week 11), hes the hip specialist at Rosshall and Glasgow Southern General, hes got me in for hydrotherapy and has his team of PTs taking care and advising me, I now feel I am making progress. As for the op itself, went smoothly, cam removal on right femoral neck, some debridement, not much though.

All I would ad is that the symptoms of popping adductors and groin strain with hip flexor ache I still have, and had pre op, so recon my issue, although it showed a definate cam on the femor on Xray and MRI, was more psoas and hip flexor muscle group related, I suspect that I may have jumped into the operation instead of really working hard on my Range of movement, which I now am. Time will tell. Hope that helps

Anglea!im so glad to hear that your surgery went ok. i bet it is a load off your mind-not to be worrying about the surgery anymore.I would say that the groin pain is pretty normal at this stage as its still very early days in the recovery process.just take each day as it comes, and dont be surprised or disappointed if you have the odd bad day. my surgeon always told me that it is normal to peak and trough for anything up to 6-8wks after surgery, depending on the type of surgery you have.good luck with your PT, and please let us know how you get on!x

the heat: how long had you had hip pain before opting for the surgery?i spent 2.5yrs prior to my THR working on ROM and strengthening exercises but it made no difference at all.if you are feeling better than you did pre op, then maybe the surgery was the right option after all?its good that you found a surgeon who is committed just as much to your aftercare.

Hi everyone!For those of you in the cooler climates and those of you here in Chicago with me....do you all find that you have more pain/stiffness on cold mornings? I am now 10 weeks post-op on rt hip and 6 weeks post-op on left. Went to a new PT today and loved him! Did some nice stretching and ROM. Said he can get me walking less like a penguin in a few weeks. Very promising =) He also said in time (maybe several weeks) he can get me on the alter G treadmill so I can slowly get my hips back into running. I've ALWAYS wanted to try one of those. Hopefully I will feel good enough by early next year?

I wanted to thank everyone for the prep recommendations. They were very helpful. I am now 2 weeks post op. I surprisingly only needed labral debridement. Which meant I was only on crutches for 7 days. It really hasnt been too bad. I'm still home from work and will take off at least 1 more week. I'm doing well with around the houses daily tasks. I can shower, cook, wash dishes, etc. I just can't grocery shop or carry anything yet. I started PT just this week. I'm finding out just how tight I now am mainly in the lower ab/psoas region. I have decent Hip ROM and was able to put on socks by 5 days post op. I'm debilitated though for sure after sitting on the couch for 2 weeks. I took my first walk just around the blOck today and was exhausted after. Both upper glutes needed ice after as did my hamstring on the non surgery side. Just wondering if anyone else also had just labral debridement and if so how lOng it took to walk a mile pain free? Also when did you return to work? I'm dreading it as its a block walk from our parking lot. And I hate office chairs and slumping over a desk all day PRE op I can't imagine how my h I'll hate it now. Also girls did you need to find new non heel shoes plus I guess shorter pants post op? I don't think I can stand shopping yet!

Hi JillPIts great to hear you are up and about. Do try to rest up when you can, healing takes a while. You are right about sitting at work - it is not comfortable.

To answer the heel question - yes, low heels are the thing to wear. Ideally something with some padding in the heel to help cushion each step. I have just managed 5cm heels, for 1 night, a year after my surgery (ligamentum teres removal and labral repair).

Hi all, I have had this surgery twice for labral tears, right hip 8 years ago aged 22, left hip four years ago. Both surgeries were debridement of tear. With the right hip I was in severe pain before and after and used crutches for six months post op. I kept activity levels very low and pain gradually lessened after that and by twelve months I was slowly getting to a point of being pain free. Four years on I had the same injury in the left hip, not quite as painful, but still pretty bad. I had the same surgery and again had slow recovery, with similar pain to before surgery. Unfortunately I now own a coffee shop so had to be back on my feet after six weeks. Perhaps because of this the left hip has never settled properly and four years on is still very niggly. Having said that I function okay most of the time, can't run but ride and sometimes even race pushbikes with usually bearable pain levels. Final note is that after 6 almost completely pain free years my right hip has started hurting again, not as bad as first injury but when it twinges it is nasty. I am currently tossing up whether to have a second surgery on both hips in the hope of improving them, but given my need to be on my feet pretty quickly I'm not keen- I think the conservative rehab definitely got the better long term result, something my physio agrees with. Apparently 10-12 months is pretty normal for full recovery, don't believe a word the surgeon says about mountain climbing after 6 weeks...

the whole thing really started maybe 2 years back, had, groin and hip pain, eventually had an MRI for it and the diag was Osteitus pubis, it settled after a few months of non activity post MRI. So I was out for a good while, started running really easy mid 2011, and in October cranked up the mileage (for me) to about 50 miles a week, but there was still lingering discomfort in the groin, got to the point by Jan 2012 I had to reduce the mileage, down to 3-4runs per week, but it really wasnt getting better, all came to a head after an 8mile blow out at my running club on 1st March, could not walk day after (hip flexor and groin pain unbearable) and been unable to run since.I spent about 8 weeks with PT after with no real gains, the pain settled but I could not run, and internal rotation was painful. so eventually when thru the Orthapedic surgeon route.

Hi Glen, wow, you must have been one of the pioneers of this tyoe of surgery. The labral tearing and subsequent debridement can often be the result of something else, like a CAM, I am assuming you did not have anything like that show up in the MRI (with contrast) as simple debridement would not have got to the core of your issue ?

From what I have read elsewhere the choice of surgeon seems to be particularly relevant to the success of these procedures, and I have read of several people going in for successful follow up ops on there affected hips.

I suppose you need a complete re-assessment. That would be my plan if I were your age.

At the end of the day, my wants from my life dictated my coarse of action, I crave the rush from outdoor activity and sport, that was the major determinant in my desire to resolve my issue.